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Sodium Hypochlorite-Induced Upper Extremity Chemical Burns: Case Series of Eight Patients and a Review of the Literature

Cil, Yakup and Salman, Necati and Ayhan Acar, Yahya and Tezel, Onur and Yesil, Hakan (2016) Sodium Hypochlorite-Induced Upper Extremity Chemical Burns: Case Series of Eight Patients and a Review of the Literature. Journal of Archives in Military Medicine, 4 (3). ISSN 2345-5071


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Background: Sodium hypochlorite (NaClO) is a chemical compound that is widely used in bleaching, stain removal, disinfection, deodorizing and water treatment. Sodium hypochlorite-induced chemical burns have been described and are reported as relatively rare. We report our experience with such cases to illustrate important points regarding management of these burns. Methods: We retrospectively collected the data of NaClO-induced upper extremity chemical burn admissions at a military hospital during an eight-year period (2007 - 2015). Survey data included patient age, gender, burn area, burn depth, treatments and follow-up period. Results: Eight patients were admitted to our emergency department with complaints of NaClO-induced chemical burns of the upper extremity of skin over an eight-year period. All of the patients were male, with a mean age of 21.25 (19 - 23) years. Four of the burns were diagnosed as second-degree deep dermal chemical burns and the other four were second-degree superficial dermal chemical burns. Two of the patients with second-degree deep dermal chemical burn underwent debridement and skin grafting. All of the patients were then followed for three to nine months. Conclusions: We recommend the use of tap water for high-volume, long-term lavage. We are against using neutralization chemicals in order to prevent more unforeseeable catastrophic effects, because it is difficult to determine the composition of exposure from NaClO-derived household chemicals. After emergency department evaluation, patients should be hospitalized for at least the first 24 - 48 hours, according to the plastic surgeon’s decision.

Item Type: Article
Subjects: W Health professions
Depositing User: User Mehran Mazaheri
Date Deposited: 27 Apr 2017 05:45
Last Modified: 27 Apr 2017 05:45

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